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Associate, Group Operations

Headquarters Office, Schenectady, New York, United States of America Req #185
Monday, September 30, 2019
Be a part of the transformation at MVP Health Care®. MVP Health Care is a nationally-recognized, regional not-for-profit health insurer. We care for more than 700,000 members across New York and Vermont and are powered by the ideas and energy of more than 1,700 employees. We employ talented people  with diverse backgrounds and experience—tech people, numbers people, even people people—to make health insurance more convenient, more supportive, and more personal. If you’re ready to join a thriving, mission-driven company where you can create your own opportunities—it’s time to make a healthy career move to MVP.

Status: Full-time, Non-Exempt    

   

 

Summary:

This position main areas of responsibility are to ensure the accurate and timely processing of existing employer group changes and entry of new groups into Facets and the Employer Group Crosswalk (MVP Intranet). Applicants must possess a high working knowledge of Facets, and how Employer Groups, Products, Billing and Eligibility inter-relate within Facets. Process new groups, renewals, cancelations, terminations and administrative changes in Facets and the employer group crosswalk for Individual, Commercial and ASO groups from Macess Service Forms, XML Files, MVP Connect and Xchange Connect. Responds to incoming email inquiries, questions and concerns, related to group set up from internal customers across all of MVP’s product lines. Assists in the identification and resolution of billing errors and zero rates, which includes follow through with multiple departments. Pulls, reviews and makes correction from group weekly queries and error reports. Creates monthly No Bill letters to send to Health Benefit Administrators for those groups that did not generate a monthly invoice due to an MVP system error. Responsible for carrying out the core system testing (Facets) for any new business needs or roll up testing. Create and QC group rate and adjustment documents to send to the Rate Team for manual rate entry into Facets. Ability to maintain confidentiality and adhere to regulatory compliance issues as they exist and change from time to time. Maintains departmental standards of production under the Quality Assurance Program for Member Operations. Performs other duties as assigned.

 

POSITION QUALIFICATIONS

 

Minimum Education:

Associates degree or equivalent combination of education and directly related experience preferred.

 

Minimum Experience:

1-2 years’ related experience in health care. Billing or enrollment experience strongly preferred. Familiarity with health care benefits and/or medical terminology. Proven skills in process analysis, system documentation, and workflow definition. Experience in positions where adherence to strict confidentiality is required

 

Required Skills

• Strong skills required in critical thinking, problem analysis, verbal/written communication and interpersonal interactions.

• Able to work in team environment and independently.

• Possess sense of accountability and urgency in completing assignments.

Strong PC skills.

 

Preferred Skills

• Proficient in Facets strongly preferred

MVP Health Care is an Affirmative Action/Equal Opportunity Employer (PDF). We recruit, employ, train, compensate, and promote without regard to race, religion, creed, color, national origin, age, gender, sexual orientation, marital status, disability, genetic information, veteran status, or any other basis, e.g., Pay Transparency (PDF), protected by applicable federal, state or local law. Any person with a disability needing special accommodations to the application process, please contact Human Resources at hr@mvphealthcare.com.

Other details

  • Job Family Enrollment and Eligibility
  • Pay Type Hourly
  • Headquarters Office, Schenectady, New York, United States of America